活动性疼痛评估方法在全髋关节置换患者中的应用

Abstract
Figure/Table
References (25)
Related Citation (13)

Download: PDF (654 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of assessment methods for active pain in patients undergoing total hip arthroplasty. Methods A total of 80 patients who underwent primary unilateral total hip replacement due to femoral neck fracture in Liuhe Hospital Affiliated to Yangzhou University Medical College from April 2017 to March 2020 were selected as study subjects. According to the random number table method, the patients were divided into control group and observation group, 40 cases in each group. Routine pain nursing assessment and intervention were carried out in the control group, and postoperative pain management was conducted in the observation group on the basis of the control group combined with active pain assessment methods. The numerical rating scale (NRS) score of functional activity at 24 h after operation, satisfaction with analgesia management, frequency of functional activity within 24 h after operation, time of first getting out of bed activity, and hip function score at three days and one week after operation were compared between the two groups. Results The NRS score of the observation group was lower than that of the control group at the time point of functional activity 24 h after operation (P ＜ 0.05). The satisfaction score of analgesia management was higher than that of the control group (P ＜ 0.05). The frequency of functional activity within 24 h after operation was higher than that of the control group, the time of getting out of bed for the first time was earlier than that of the control group (P ＜ 0.05). Overall analysis found that: Harris rating group comparison, time point comparison and interaction difference were statistically significant (all P ＜ 0.05), further pairwise comparison and intra-group comparison: compared with preoperative comparison, Harris score was improved three days and one week after surgery in both groups, and the differences were statistically significant (P < 0.05), comparison between groups: Harris scores of the observation group three days and one week after operation were higher than that of the control group (P ＜ 0.05). Conclusion The application of assessment methods for active pain in total hip arthroplasty can effectively improve the quality of postoperative pain management and promote the recovery of postoperative hip function.

Key words： Assessment for active pain Total hip arthroplasty Pain management Hip joint function

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LI Xiaoqin HU Guihua ZHAO Guifeng ZHAO Qinghua LIU Yubao

Cite this article:

LI Xiaoqin HU Guihua ZHAO Guifeng ZHAO Qinghua LIU Yubao. Application of assessment methods for active pain in patients undergoing total hip arthroplasty[J]. 中国医药导报, 2020, 17(32): 160-163,176.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I32/160

[1] 杨霞.加速康复外科理念在全髋关节置换术围术期护理中的应用研究[D].南京：东南大学，2019.
[2] Maeda Y，Nakamura N，Sugano N. Improvement of Activities of Daily Living after Total Hip Arthroplasty Using Acomputed Tomography-based Navigation System [J]. J Artif Organs，2017，20（2）：152-157.
[3] 徐惠娟.动漫宣教片在人工髋关节置换术病人术后康复训练中的应用效果[J].护理研究，2019，33（1）：126-129.
[4] 谢倩倩，张咏梅，宋凌霞，等.基于BCW理论的早期康复锻炼对老年全髋关节置换术后患者康复效果的影响[J].中国医药导报，2020，17（7）：181-184.
[5] D′Arcy Y. Compact Clinical Guide to Acute Pain Management：An Evidence-based Approach for Nurse [M]. New York：Springer Publishing Company，2011：39-45.
[6] Victorian Quality Council. Acute Pain Management Measurement-tooklit[EB/OL].[2014-8-11].http：//pdf-release.net/external/4448283/pdf-release-dot-net-apmmtoolkit.pdf.
[7] 孙瑶.授权理论模式下活动性疼痛评估对肺癌术后患者疼痛管理质量的影响[D].长春：吉林大学，2020.
[8] 成燕，童莺歌，刘敏君，等.手术后患者活动性疼痛的护理评估现状[J].中国实用护理杂志，2015，31（7）：481-485.
[9] 童莺歌，成燕，郑红葵，等.四等级功能活动评分法的信效度和应用效果研究[J].护士进修杂志，2016，31（11）：968-971.
[10] Pasero C，McCaffery M. Pain Assessment and Pharmacologic Management [M]. St louis Missouri：Elsevier Health Sciences，2010：155-157.
[11] 周利娟，张岚.运用主客观结合评估法评价胸外科术后患者活动性疼痛治疗效果研究[J].中国全科医学，2019， 22（8）：994-998.
[12] 李静，童莺歌，刘玉平，等.活动性疼痛评估方法在加速康复外科疼痛管理中的应用[J].中华现代护理杂志，2019， 25（8）：937-940.
[13] 周月晨，杨益，史凌云，等.全髋关节置换术后患者规范化疼痛管理[J].护理学杂志，2018，33（4）：4-7.
[14] 周晓玲，李小妹，王艳妮，等.递增式功能锻炼对髋关节置换术病人功能康复的影响[J].护理研究，2015，29（17）：2151-2153.
[15] 李霞，刘军，仓艳红，等.口令操对全髋关节置换术后康复训练效果的影响[J].护理研究，2018，32（11）：1806-1809.
[16] 鲁汉杰，张穗，杨丽，等.多模式预防性镇痛对剖宫产术后产妇早期宫缩性疼痛护理的影响[J].解放军护理杂志，2018，35（20）：54-58.
[17] 马琴，余茴香，李善玲，等.格林模式联合微信平台对老年髋部骨折患者康复的影响[J].护理学杂志，2018，33（13）：80-83.
[18] Kum E，Buckley N，de Leon-Casasola O，et al. Attitudes Towards and Management of Opioid-induced Hyperalgesia：A Survey of Chronic Pain Practitioners [J]. Clin J Pain，2020，36（5）：359-364.
[19] 李燕如，刘晓芬，李少芳，等.自控式多功能胸带的研制及其在降低胸部手术患者活动性疼痛中的应用[J].护理学报，2019，26（20）：74-77.
[20] 吴康顺，于卫华，戈倩，等.活动性疼痛评估在脑卒中偏瘫肩痛患者疼痛管理中的应用效果研究[J].中国全科医学，2020，23（33）：4241-4246.
[21] 徐城，杨晓秋，刘丹彦.常用的疼痛评估方法在临床疼痛评估中的作用[J].中国疼痛医学杂志，2015，21（3）：210-212.
[22] 周利娟，张岚.运用主客观结合评估法评价胸外科术后患者活动性疼痛治疗效果研究[J].中国全科医学，2019， 22（8）：994-998.
[23] De Luca ML，Ciccarello M，Martorana M，et al. Pain Monitoring and Management in A Rehabilitation Setting after Total Joint Replacement [J]. Medicine（Baltimore），2018， 97（40）：e12484.
[24] 王宜庭.APS模式下活动性疼痛评分在关节置换患者中的应用[D].镇江：江苏大学，2019.
[25] 杨红，双峰.髋膝关节置换围术期疼痛影响因素及管理研究进展[J].护理学报，2017，24（2）：28-31.